Provider Demographics
NPI:1073679189
Name:SARKIS A DAMARGI DDS, INC.
Entity Type:Organization
Organization Name:SARKIS A DAMARGI DDS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:SARKIS
Authorized Official - Middle Name:AGOP
Authorized Official - Last Name:DAMARGI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:818-551-9515
Mailing Address - Street 1:1004 S GLENDALE AVE
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91205-2806
Mailing Address - Country:US
Mailing Address - Phone:818-551-9515
Mailing Address - Fax:818-551-9976
Practice Address - Street 1:1004 S GLENDALE AVE
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91205-2806
Practice Address - Country:US
Practice Address - Phone:818-551-9515
Practice Address - Fax:818-551-9976
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-01
Last Update Date:2015-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA422941223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA=========OtherTIN